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At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

Fundal tone

Lochia

Transcutaneous bilirubin

Engorgement

Vital Signs

Bladder distension

Answer and Explanation

Correct Answer : A,B,E,F

A. Fundal tone assessment helps detect uterine atony.

B. Lochia assessment monitors postpartum bleeding.

C. Transcutaneous bilirubin is not assessed in the immediate postpartum period.

D. Engorgement relates to breastfeeding and is not a priority in the fourth stage.

E. Vital signs are crucial to monitor for hemorrhage or shock.

F. Bladder distension can affect uterine contraction and bleeding.

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Correct Answer is C

Explanation

A. Magnesium sulfate is not primarily used for neuroprotection in pre-eclampsia; it is used to prevent seizures, which are a complication of the condition.

B. While magnesium sulfate may have some mild blood pressure-lowering effects, its main role in pre-eclampsia is seizure prevention.

C. Magnesium sulfate is given to prevent seizures in women with pre-eclampsia or eclampsia, which are associated with the condition's severity.

D. While magnesium sulfate may help with symptoms like headaches and blurred vision, its primary purpose is to reduce the risk of seizures.

A. Genetic testing when the babies are delivered will need to be done to determine this. B. They are dizygotic because the ultrasound shows one is bigger than the other. C. The twins are dizygotic because they are not the same sex D. They are monozygotic because they are in different amniotic sacs.

Correct Answer is C

Explanation

A. Genetic testing is not necessary to determine if the twins are identical. Identical twins come from the same egg, while fraternal twins come from separate eggs.

B. The size difference alone does not determine whether twins are identical or fraternal.

C. Dizygotic twins (fraternal twins) are always of different sexes. This is because they are fertilized by two separate sperm and develop from two separate eggs.

D. Monozygotic twins (identical twins) occur when one fertilized egg splits into two embryos. The fact that they are different sexes rules out the possibility of monozygotic twins.

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At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

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Naxlex Comprehensive Predictor Exams

A woman who is 37 weeks gestation is diagnosed with pre-eclampsia. She asks the nurse why she is getting Magnesium Sulfate. What is the best response?

Correct Answer is C

Explanation

A woman is 28 weeks pregnant with twins. The ultrasound reveals that one twin is a boy and the other is a girl. The woman asks if her babies will be identical. The nurse will base her answer upon which of the following information.

Correct Answer is C

Explanation

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